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Home My WebLink About002-1075-20-000 -0 0 Q o N o a ~ 0 m O O ~ I 0 o ' N ~ I O C ' ti i ~L I h O c Z 7 LL C: c 0 Q 3 N v _ Z y W Y O z d y a) CN a m c,4 F- Cn I c O O Z a a. O aUi Z O c fA F- O Z c ~ -o _ N O `3(J C a 7 N • ~i d ~ ) O L O O o¢ w Z co Z o N Z' ~ N R N ~ N d > d i W O o o a E :6 ° ~ rn ~ =)I m o w 0 • `L"aaa z m N O N 3 ° N -j I- CO 5 ~ m o N 0 N > a-) C _ O E Q 7 C> m y d 'fl V) N m ~ ~ 'fl d Q (n f6 00 7 r O N N O E O Cs u a) co C,4 0 U) a> l Tirr F- 7 Um Ovi ro v 4 0 r C C m O y _ CD Z 7 N 1: c -0 F0 N N 2 7 2 E _ • o p) co N O N N O U O N CO q Z m F- (n O ~ ~ # w RS `m m E a L ca c. y m d c ~ • E c c 15 r A v a O U) V Parcel 002-1075-20-000 01/05/2007 09:13 AM PAGE 1 OF 7 Alt. Parcel 29.29.16.444C 002 - TOWN OF BALDWIN Current X ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type 00 0 Tax Address: Owner(s): O = Current Owner, C = Current Co-Owner O - SERIER, RUSSELL C & EVELYN O(LE) RUSSELL C & EVELYN O(LE) SERIER C - SERIER JEFFREY L SERIER JEFFREY L 630 11TH AVE BALDWIN WI 54002 Districts: SC = School SP = Special Property Address(es): * = Primary Type Dist # Description * 2298 70TH AVE SC 0231 BALDWIN-WOODVILLE AREA SP 1700 WITC Legal Description: Acres: 10.000 Plat: N/A-NOT AVAILABLE SEC 29 T29N R16W METES & BOUNDS SE SE S Block/Condo Bldg: OF RR R/W Tract(s): (Sec-Twn-Rng 401/4 1601/4) 29-29N-16W Notes: Parcel History: Date Doc # Vol/Page Type 07/14/2003 729963 2311/568 QC 582/468 2006 SUMMARY Bill Fair Market Value: Assessed with: 153940 Use Value Assessment Valuations: Last Changed: 10/25/2006 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 1.000 16,800 81,600 98,400 NO 05 AGRICULTURAL G4 4.680 800 0 800 NO 05 AGRICULTURAL FOREST G5M 4.320 3,700 0 3,700 NO 05 Totals for 2006: General Property 10.000 21,300 81,600 102,900 Woodland 0.000 0 0 Totals for 2005: General Property 10.000 7,200 47,500 54,700 Woodland 0.000 0 0 Lottery Credit: Claim Count: 0 Certification Date: 04/17/2001 Batch PRGRM Specials: User Special Code Category Amount 010-GARBAGE SPECIAL ASSESSMENT 45.00 Special Assessments Special Charges Delinquent Charges Total 45.00 0.00 0.00 AS BUILT SANITARY SYSTEM REPORT OWNER _ TOWNSHIP& SEC.&I~T_,-/N, R,~ZW ADDRESS ST. CROIX COUNTY WISCONSIN. SUBDIVISION LOT LOT SIZE ? PLAN VIEW Distances & dimensions to meet requirements of H62.20 SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM 1 M Ago. 0 c3 I di ate ozthjArrow SCALD SEPTIC TANK(S) MFGR. CONCRETE ; Y STEEL NO . o rings on cover Depth PUMPING CHAMBER SIZE PUMP MFGR'. MODEL NO. GALLONS Per Cycle TRENCHES NO. of --width length area BED NO. of lines width length "J area dept to top of pipe NUMBER OF SEEPAGE PITS Outside diameter total pit area AGGREGATE- / F. PERK RATE AREA REQUIRED AREA AS BUILT C; Disclaimer: The inspection of this system by St. Croix County does not imply complete compliance with State Administrative Codes. There are other areas that it is not possible to inspect at this point of construction. St. Croix County assumes no liability for system operation. However, if failure is noted the County will make every effort to determine cause of failure. GREASES AND OILS SHOULD NOT BE DISPOSED THROUGH THIS SYTEM. INSPECTOR DATED PLUMBER ON JOB LICENSE NUMBER P • AS BUILT SANITARY SYSTEM REPORT N DER , T014NSHIP SEC. T N, R,, k _0. ADDRESS , ST. CROIX COUNTY, GdISCONSIN. T 3DIVISION , LOT LOT SIZE • PLAN VIEW -Distances S dimensions to meet requirements of H62.20 SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM - - -T - - ~ I I i i I 3 -I I I i i I I j on. r% i - ! _ - Ir~dicate North; Arrow j I ' S CALF tPTIC TANK(S) MFGR. CONCRETE STEEL NO. of rings on cover Depth DRY WELL ANCHES NO. of width length area no. of lines width length area depth to top of pipe - GBEGATE 7*) 1 Ilk I I 0 A ?;W, RATE REQ D AREA B LT '%W-0~ q iticlaimer: The inspection of this system by St. Croix County does not imply complete .o;pliance with State Administrative Codes. There are other areas that it is not possible ,o inspect at this point of construction. St. Croix County assumes no liability for Istem operation. However, if failure is noted the County will make every effort to ,jtermine cause of failure. {EASES AND OILS SHOULD NOT BE DISPOSED THROUGH THIS SYSTEM. 'INSPECTOR DATED PLUMBER ON JOB LICENSE NU11BER .w Z `REPORT OF INSPECTION INDIVIDUAL SELVAGE SYSTEM San.itany Petun.it • State Septic NAME - iownahip - S~. Cnoix County Locatiog Section SEPTIC TANK Size gatton6. Numbers o6 Compantmentz I, Distance Fnom: WeZZ 12% on greaten ztope 6t Bu.itd.ing it. Wettandh ~ • H.ighwaten it. DISPOSAL SYSTEM Distance Fnom: Wett 12% on greaten 6,eope 6t. Buitd.ing it. Wettands Ft. • H.ighwaten 6t. FIELD DIMENSIONS: Width o6 tneneh it. Depth o6 tcock below t.ite in. Length o6 each tine it. Depth o6 tcock oven t.ite .in. Numbetc o6 tines Depth o6 t,ite below grade in. Totat .length of Zines it. Stope o6 tneneh in pen 100 it. Distance between tines it. Depth to b edno ch. it. Totat absonbtion area ~t2 Depth to gnoundwaten St. 2 .Requited area it Type o Coven: Papen on Straw PIT DIMENSIONS: Number ob pats Gnavet around pits yes no Outside d.iameten it. Depth below in.Let it. 2 Totat absonbtt.on area it ;2T 2 Area nequined it INSPECTED BV TITLE APPROVED DATE 19,7•_ REJECTED DATE 197. h .E14 115 WISCONSIN DEPARTMENT OF HEALTH AND SOCIAL SERVICES DIVISION OF HEALTH, BUREAU OF ENVIRONMENTAL HEALTH P.O. BOX 309 MADISON, WISCONSIN 53701 REPORT ON SOIL BORINGS AND PERCOLATION TEST LOCATION: S '/4, Section,! V, T4%, RANE (or) W, Township or M ty 44. irJ Lot No. Blo No. County A Subdivision Name Owner's Name: ~"0' Mailing Address: TYPE OF OCCUPANCY: Residence --_X No. of Bedrooms c:L 42 Other EFFLUENT DISPOSAL SYSTEM: NEW X ADDITION REPLACEMENT - DATES OBSERVATIONS MADE: SOIL BORINGS Zy PERCOLATION TESTS o~/_ f SOIL MAP SHEET SOIL TYPE PERCOLATION TESTS TEST DEPTH HOURS WATER IN TEST TIME DROP IN WATER LEVEL, INCHES RATE CHARACTER SOIL SINCE HOLE HOLE AFTER INTERVAL NUM- INCHES THICKNESS IN INCHES BER 1ST WETTED SWELLING IN MINUTES PERIOD 1 PERIOD 2 PERIOD 3 MIN/IN rvq ffo toe P-A CA SOIL BORING TESTS TEST TOTAL DEPTH DEPTH TO GROUNDWATER, INCHES CHARACTER OF SOIL WITH THICKNESS, INCHES NUMBER INCHES OBSERVED ESTIMATED HIGHEST (DEPTH TO BEDROCK IF OBSERVED) 4 ~Qp~o, tr a (r c/ 66 Cr tr _6 -7 cr PLAN VIEW (Locate percolation tests,soil bore holes and suitable soil areas.) Indicate on the plan the locationand square fee of sui a_blee reas. Indicate number of s re feet of absorption area needed for building type and occupancy. a ~~f'~ Indicate scale or distances. Give horizontal and vertical reference points. Indicate slope. I / D r c1 r 9 ~ 1 _i I } I I d 4 r i I~ i / ( ✓ N - - rT C T ` I Ri P~R ~ I aJ, I s l II - I ~'d5 ~y s I L f k 1 t I, the undersigned, hereby certify that the soil tests reported on this form were made by me in accord with the procedures and methods specified in the Wisconsin Administrative Code, and that the data recorded and location of test holes are correct to the best of my knowledge and belief. / Name (print) ~2~-ff ,L o 74 Certification No. - Address Name of installer if known E' L l CST Signature 1 -67 State and County State Permit # PLB rv Permit Application County Permit for Private Domestic Sewage Systems County, z/ , *DENOTES STATE APPROVAL REQUIRED Date Approval Received from State if Required State Plan I.D. # A. OWNER OF PROPERTY Mailing Address: B. LOCATION: ~E % SC Section T_ N, R~ ~ (or) W Lot# City Subdivision Name, nearest road, lake or landmark Blk# Village . Township Bo, w 'n C. TYPE OF OCCUPANCY: *Commercial *Industrial *Other (specify) *Variance Single family X Duplex No. of Bedrooms -7 WC) No. of Persons_ D- SEPTIC TANK CAPACITY /00 Total gallons No. of tanks CA/ e- HOLDING TANK CAPACITY Total gallons No. of tanks Prefab concrete X Poured-in-Place Steel Fiberglass Other (specify) New Installation Replacement Lift Pump Tank or Siphon Chamber Total gallons Prefab concrete Poured-in-Place Other (Specify) E, EFFLUENT POSAL SYSTEM: Percolation Rate-- Total Absorb Area sq. ft. New Replacement Alternate (Specify) Seepage Trench: No. of Lieal Ft. Width Depth Tile depth (top) No. of Trenches Seepage Bed: -X Length Width /;2 1_Depth " Tile depth (top) c;? No. of Lines .26 Seepage Pit: Inside diameter Liquid Depth No. of Seepage Pits Percent slope of land- Distance from critical slope WATER SUPPLY: Private, Joint ❑ Community ❑ Municipal ❑ Owners name as listed on EH 115 if other than present owner: I, the undersigned, do hereby certify that the information I have reported is in accord with Section H62.20, Wisconsin Administrative Code, and that I have sized the effluent disposal system from the EH-115 prepared by the Certified Steil Tester, - - NAME C.S.T. #and other information obtained from C-' At (owner/builder). Plumber's Signature MP/MPRSW# 1YJ T~~~ Phone Plumber's Address 1 PLAN VIEW: Provide sketch below of system (include direction of slope and all distances in accord with H62.20. Well loca- tion shall be included on the sketch. Indicate or dimension location of all wells on the property or neighbors property. If well has not been drilled please indicate. We# 740 & hn r9. 501 he 1550141c /orsA Well AL-) 6-0112 /1--/, t . /6_p ~0 141 9r- C3 4- r --~10 o E7 E m 35 4 E m ~ 0._ 4 ~ f CD~ q/d, 9 q -cr, o/ X-0 'Sca/ Do Not Write in Spar,e Below FOR COUNTY AND STATE DEPARTMENT USE ONLY Date of A lication `f ~ PP > Lam=--T Fees Paid: State County % Date, Permit Issued/ F3ajeeEed (date) Issuing Agent Name l 1~-;7 cpection Yes _X No State Valid# Date Rec'd 7ounty (white copy) 3. owner (green copy) DIVISION OF HEALTH, P.O. BOX 309, MADISON, WI 53701 ate (pink copy) 4. plumber (canary copy) I Revised Date 7/1/78 -ddd